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Individual

SHENETTE SCILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/10/2014
Last updated
01/21/2015
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